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REVIEW ARTICLE
Year : 2019  |  Volume : 35  |  Issue : 4  |  Page : 250-258

Vesicovaginal fistula: Review and recent trends


1 Department of Urology, MIOT International, Chennai, Tamil Nadu, India
2 Department of Urology, KIMS Hospitals, Secunderabad, Telangana, India

Correspondence Address:
Shanmugasundaram Rajaian
Department of Urology, MIOT International, Chennai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/iju.IJU_147_19

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Vesicovaginal fistula (VVF) is an abnormal communication between the bladder and the vagina. Prompt diagnosis and timely repair are essential for successful management of these cases. As the clinical scenario is variable, it is difficult to frame uniform guidelines for the management of VVF. Hence, the management protocol is dependent on the treating surgeon and the available resources. Conservative methods should be used in carefully selected patients. Delayed repair is better than the early repair of VVF. Transvaginal route for repair is preferred as it has low morbidity, higher success rates, and minimal complications. Anticholinergics should be used in the postoperative period for better chance of bladder healing. When facilities are available, all the patients may be referred to a tertiary care center where expertise and advanced resources are available. Trained surgeons adapting the new trends should refine the art of VVF repair.


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